Key result
TEE during tricuspid TEER is linked to a 3.1% rate of clinically relevant complications.
Why the study?
TEE is essential to guide structural heart disease interventions, but whether complex TTVR procedures are associated with TEE-related complications was not known.
What is the rate of transesophageal echocardiography-related complications during transcatheter edge-to-edge tricuspid valve repair in high-risk patients?
Observational (n=64)
No
What is the rate of transesophageal echocardiography-related complications during transcatheter edge-to-edge tricuspid valve repair in high-risk patients?
TEE-related complications during TTVR are clinically relevant, occurring in 3.1% of patients, including major complications like esophageal perforation.
May warrant TEE caution in TTVR; leaves open need for safer imaging alternatives in prospective studies.
Objectives: We aimed to determine transesophageal echocardiography (TEE) related complications during Transcatheter edge-to-edge tricuspid valve repair (TTVR). Background: Transesophageal echocardiography is essential to guide structural heart disease (SHD) interventions. TTVR has become an evolving procedure for high-risk patients not suitable for surgery. Whether this complex procedure is associated with TEE related complications is not known so far. Methods: We retrospectively analyzed 64 consecutive patients undergoing TTVR between 2019 and 2021 with the TriClip system (Abbott, Chicago, IL, USA) at our center. All procedures were performed under general anesthesia (GA). TEE related complications were classified as major and minor complications. Results: Transesophageal echocardiography related complications were observed in two patients (3.1%) with one major complication (1.6%) and one minor complication (1.6%). In one patient perforation of the esophageal mucosa requiring red blood cell transfusion was observed, the other patient had hematemesis due to minor esophageal and gastric lesions without the need for blood transfusion. Both patients recovered during hospital stay with no persistent symptoms at discharge. Conclusions: Transesophageal echocardiography related complications during TTVR are clinically relevant occurring in 3.1% of the patients. Further investigations are needed to identify potential risk factors and patients at high risk to develop a TEE related complication in the course of TTVR.
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Hellhammer et al. (2022) conducted an observational in Transcatheter edge-to-edge tricuspid valve repair (TTVR) (n=64). Transesophageal echocardiography (TEE) was evaluated on TEE related complications. Transesophageal echocardiography during transcatheter edge-to-edge tricuspid valve repair resulted in clinically relevant complications in 3.1% of patients.
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